微创开窗打压植骨联合细针钻孔减压治疗塌陷前期股骨头坏死  

Treatment of pre-collapse stage femoral head necrosis by minimally invasive fenestration and impacted bone graft and drilling decompression with fine needle

作　　者：孙景东[1] 卢云[1] 陈文[1] 刘小涛[1] 王平年[1] 龚泰芳[1] 

机构地区：[1]十堰市太和医院(湖北医药学院附属医院)骨关节科,湖北十堰442000

出　　处：《骨科》2014年第4期206-210,共5页ORTHOPAEDICS

摘　　要：目的 探讨微创下开窗坏死病灶清除打压植骨联合细针多孔钻孔减压治疗塌陷前期股骨头坏死的临床疗效.方法 2009年1月至2011年12月收治的43例（64髋）塌陷前期股骨头坏死患者,均采用微创股骨头坏死病灶清除打压植骨联合细针多孔钻孔减压的手术方式治疗.收集患者术前及术后24个月的Harris髋关节功能评分,以评价手术疗效.结果 本组随访时间24.0～60.0个月,平均（32.0±3.5）个月,失访2例（2髋）.术后24个月,Harris髋关节功能评分为（81.2±5.6）分,优良率达77.42％,与术前的（62.2±4.2）分相比,差异有统计学意义（P＜0.05）.结论 微创开窗坏死病灶清除打压植骨联合细针多孔钻孔减压治疗塌陷前期股骨头坏死疗效显著,是一种简单有效的治疗方法.Objective To study the clinical method of pre-collapse stage femoral head necrosis treated by minimally invasive fenestration focal clearance and impacted bone graft and drilling decompression with fine needles.Methods From Jan.2009 to Dec.2011,43 （64 hips） patients were diagnosed as pre-collapse stage osteonecrosis of the femoral head （ONFH）.All patients accepted the treatment of minimally invasive fenestration necrotic lesions clearance and impacted bone graft and drilling decompression using fine needles.The therapeutic effects were evaluated according to Harris scoring for hip function.Results Forty-one （62 hips） patients were followed up for 24.0-60.0 months postoperatively and the mean follow-up period was 32.0 ± 3.5 months.The excellent and fine rate was 77.42％ according to the Harris score 24 months later.The Harris score was increased from 62.2 ± 4.2 to 81.2 ± 5.6,and the difference was significant （P＜0.05）.Conclusion For pre-collapse stage ONFH,the clinical effect is remarkable using minimally invasive fenestration lesions clearance and impacted bone graft and drilling decompression with fine needles.

关 键 词：股骨头坏死 减压 骨移植 外科手术 微创性 

分 类 号：R687.3[医药卫生—骨科学]